Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Interventional Cardiology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,819Medicare Part D Prescriptions Filled, Including Refills

Rank: 7 out of 294

$1.32M Total Retail Price of All Prescriptions

Rank: 1 out of 294

798 Patients Receiving at Least One Drug in Part D
97% Patients 65 Years and Older

6% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Texas
lower than average

Antipsychotics

0% of this provider’s 771 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

3% of this provider’s 798 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 771 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Brand Name Drugs *

34% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%. This is far more than peers.

* This is an estimate, see our methodology.

Prescription Price

$122 was the average price of a prescription from this provider, compared to $67 among peers.

Prescriptions per Patient

14 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$649K

2012

$911K

2013

$1.07M

2014

$1.32M

2015

Number of Claims

6,282

2012

8,695

2013

9,649

2014

10,819

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

1,258

prescriptions, 12% of all prescriptions

1,212

prescriptions.

323

patients, 40% of all patients

1 2
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

716

prescriptions, 7% of all prescriptions

693

prescriptions.

182

patients, 23% of all patients

2 1
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

706

prescriptions, 7% of all prescriptions

656

prescriptions.

168

patients, 21% of all patients

3 5
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

508

prescriptions, 5% of all prescriptions

503

prescriptions.

111

patients, 14% of all patients

4 13
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

418

prescriptions, 4% of all prescriptions

407

prescriptions.

115

patients, 14% of all patients

5 6
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

312

prescriptions, 3% of all prescriptions

307

prescriptions.

63

patients, 8% of all patients

6 18
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

311

prescriptions, 3% of all prescriptions

306

prescriptions.

76

patients, 10% of all patients

7 3
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

292

prescriptions, 3% of all prescriptions

276

prescriptions.

68

patients, 9% of all patients

8 28
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

286

prescriptions, 3% of all prescriptions

281

prescriptions.

61

patients, 8% of all patients

9 22
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

266

prescriptions, 2% of all prescriptions

261

prescriptions.

75

patients, 9% of all patients

10 4
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

262

prescriptions, 2% of all prescriptions

257

prescriptions.

76

patients, 10% of all patients

11 8
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

236

prescriptions, 2% of all prescriptions

231

prescriptions.

61

patients, 8% of all patients

12 11
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

207

prescriptions, 2% of all prescriptions

202

prescriptions.

61

patients, 8% of all patients

13 7
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

203

prescriptions, 2% of all prescriptions

198

prescriptions.

57

patients, 7% of all patients

14 40
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

197

prescriptions, 2% of all prescriptions

192

prescriptions.

44

patients, 6% of all patients

15 10
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

194

prescriptions, 2% of all prescriptions

179

prescriptions.

51

patients, 6% of all patients

16 17
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

188

prescriptions, 2% of all prescriptions

183

prescriptions.

48

patients, 6% of all patients

17 31
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

157

prescriptions, 1% of all prescriptions

152

prescriptions.

45

patients, 6% of all patients

18 12
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

146

prescriptions, 1% of all prescriptions

141

prescriptions.

46

patients, 6% of all patients

19 15
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

130

prescriptions.

24

patients, 3% of all patients

20 16
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

129

prescriptions.

34

patients, 4% of all patients

21 9
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

116

prescriptions.

34

patients, 4% of all patients

22 21
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

95

prescriptions.

29

patients, 4% of all patients

23 42
AMLODIPINE-VALSARTAN

This combination of medicin... +

This combination of medicines are used to treat high blood pressure (hypertension). Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

94

prescriptions.

24

patients, 3% of all patients

24 80
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

93

prescriptions.

24

patients, 3% of all patients

25 51
RAMIPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure after a heart attack. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

92

prescriptions.

21

patients, 3% of all patients

26 25
PRADAXA

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung) in patients who have been treated with an injectable anticoagulant (''blood thinner''). Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

90

prescriptions.

15

patients, 2% of all patients

27 30
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

83

prescriptions.

16

patients, 2% of all patients

28 65
MULTAQ

Treats heart rhythm problem... +

Treats heart rhythm problems in patients who have a history of atrial fibrillation. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

83

prescriptions.

14

patients, 2% of all patients

28 41
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

21

patients, 3% of all patients

30 77
VYTORIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

77

prescriptions.

18

patients, 2% of all patients

31 100
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

76

prescriptions.

21

patients, 3% of all patients

R 32 45
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

22

patients, 3% of all patients

33 19
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

73

prescriptions.

19

patients, 2% of all patients

33 20
TRIBENZOR 64

prescriptions, 1% of all prescriptions

64

prescriptions.

12

patients, 2% of all patients

35 74
TOPROL XL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain), and lowers the risk of repeated heart attacks. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

64

prescriptions.

19

patients, 2% of all patients

35 81
IRBESARTAN

Used alone or in combinatio... +

Used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

63

prescriptions.

12

patients, 2% of all patients

37 54
BENAZEPRIL HCL

Benazepril is used alone or... +

Benazepril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 2% of all patients

38 71
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 2% of all patients

39 92
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 2% of all patients

R 39 24
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

53

prescriptions.

18

patients, 2% of all patients

41 14
LIVALO

Used together with diet, we... +

Used together with diet, weight-loss, and exercise to reduce the amount of fatty substances such as low-density lipoprotein (LDL) cholesterol ('bad cholesterol') in the blood and to increase the amount of high-density lipoprotein (HDL) cholesterol ('good cholesterol'). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 42 110
LABETALOL HCL

Labetalol is used to treat ... +

Labetalol is used to treat high blood pressure. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

50

prescriptions.

17

patients, 2% of all patients

43 55
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

50

prescriptions.

11

patients, 1% of all patients

43 32
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

43

prescriptions.

30

patients, 4% of all patients

45 26
BRILINTA

Used along with aspirin to ... +

Used along with aspirin to prevent serious or life-threatening problems with the heart and blood vessels in people who have had a heart attack or severe chest pain. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

40

prescriptions.

13

patients, 2% of all patients

46 43
NIACIN ER

Lowers cholesterol and trig... +

Lowers cholesterol and triglyceride levels in the blood and treats niacin deficiency (pellagra). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

52

prescriptions.

13

patients, 2% of all patients

46 68
BENICAR HCT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

13

patients, 2% of all patients

48 63
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 2% of all patients

48 37
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Oct. 25, 2016.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.